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r-- <br /> � PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DE81T 6 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.� PER I it � _ - <br /> :a.Z �� .). � <br /> ��� �h,e A�E. , , _ . � <br /> / C ;, <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYZP PMONE <br /> 1 <br /> /h.�C1�-EY .�JJ.> �i,cr�rA. /�V�. E✓(G_r�r y�5- .35� - �74� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Snn.r /� cc.a,� b✓��u.ti �oC- y9i (,.�)i <br /> LONTRACTOR AUDRESS CITYlDP PHONE <br /> i.i. F��[:P��rt r ('H...<,.y Sv��. i/�/L- </�,... �I,c. S:. Sc,.�4f< <br /> CONTp.LICdISER , c G �O[-`/I/�rJ.� r <br /> F T�:� Pe S 9 S 9 R; ��s��: J� 9, i(•�. <br /> USE OF BUILDING I — H6AT SOURCE I CONTRACT PRICE OF WORK <br /> Electnc _Gas�Other <br /> WORK DESCRIPTION <br /> T„ s•�,� �� (;',�s L :�,s , G,r� <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF FU(Tl1RE OR REM NO. TYPE OF FlXTURE OR REN <br /> Toilet NC-air handling urriLs <br /> _ Be@ilub Facadairaysteme <br /> Lavalory(wash I�asin) � Gas piping <br /> Shower Watar healer <br /> Kilchen sink 6 disposal ,� Gas fireplace <br /> Dishwasher Gasrange <br /> Clotheswasher _ Golhesdryer <br /> Leundry Iray _ Renge hood <br /> Sink(servicdbar/moplelc.) Exhausl fan <br /> BackOow{xevenlor _ Heat pump <br /> Urinai Unit heater <br /> Drinking Founlein Boiler <br /> Floor drain Rehigeration <br /> Grease Irap W���O <br /> Roof dralns Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES 7A%CODE IS�105 <br /> !hetaby centify Oiel I heve read anA ezamineA this application and krww the sama to be We and carect. All provisions o1 lawa and <br /> ordinaces goveming lhis type ol work will be mmplied wilh whelher epeafied herain or not.Tha grantirg oi a pertnil doas nol presume <br /> ro give authoriry ro violala or cancel Iho provision of any other stala or bcsl law regulating construction a the perfmnance of <br /> consWctlon.Thal I nm aulhorized by Ihe owner of this property to perfortn lhe v�ork lor whidi eppliralion is made and I mmply wilh Ihe <br /> Stale ConlreGors Lmv 78.27 RCW and 296200 WAC. <br /> % i�o � l 4%ti 6 /� /�; <br /> Signalwe of Owner/CoNractorlAuthonzod/1gen1 Date <br />